Emergency Preparedness and Factors Influencing Decision-Making in a Sample of Public K-12 Schools During the COVID-19 Pandemic: A Mixed Methods Study.

Publication date: Jul 17, 2025

Evaluate factors influencing the decision-making processes of school administrators and investigate the existence and use of emergency operations plans (EOPs) during the COVID-19 pandemic. Using survey data representative of US K-12 public schools in 2022, the prevalence of 16 factors that influenced reporting school administrators’ COVID-19 prevention strategy implementation decision-making (Wave 4; N = 399) and the presence and use of school EOPs (Wave 5; N = 400) are presented overall and by urban-rural classification, poverty level, and school level. Qualitative interviews were conducted with a subset of school administrators and used thematic analysis to understand factors influencing implementation of prevention strategies and emergency preparedness. School district requirements or recommendations (81. 6%) was the top reported factor influencing decisions on the use of COVID-19 prevention strategies. Although most schools created or updated their EOP during the 2021/2022 school year (78. 1%), only 26. 7% implemented or exercised an EOP during the COVID-19 pandemic. Themes from qualitative analysis focused on factors influencing the implementation of prevention strategies, limitations of current EOPs, and importance of continuous investment in school preparedness. Investing in actions to improve schools’ capacity to respond to emergencies such as developing comprehensive EOPs, building partnerships, and defining roles and responsibilities is important.

Concepts Keywords
Covid children
Interviews Civil Defense
Pandemic COVID-19
Rural COVID-19
Decision Making
emergency preparedness
Humans
infectious disease
Pandemics
Qualitative Research
Schools
schools
Surveys and Questionnaires

Semantics

Type Source Name
disease MESH Emergency
disease MESH COVID-19 Pandemic
disease MESH infectious disease
pathway REACTOME Infectious disease

Original Article

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